{"id":7456,"date":"2026-06-20T03:49:35","date_gmt":"2026-06-20T03:49:35","guid":{"rendered":"https:\/\/gothi.gov.eg\/?page_id=7456"},"modified":"2026-06-20T03:53:05","modified_gmt":"2026-06-20T03:53:05","slug":"%d8%b7%d8%a8-%d8%b9%d9%8a%d9%88%d9%86","status":"publish","type":"page","link":"https:\/\/gothi.gov.eg\/?page_id=7456","title":{"rendered":"\u0637\u0628 \u0639\u064a\u0648\u0646"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7456\" class=\"elementor elementor-7456\" 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class=\"elementor-element elementor-element-399827e5 e-flex e-con-boxed e-con e-parent\" data-id=\"399827e5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7de8ec8b elementor-widget elementor-widget-text-editor\" data-id=\"7de8ec8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<ol class=\"wp-block-list\">\n<li><\/li>\n<\/ol>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ee16d58 e-flex e-con-boxed e-con e-parent\" data-id=\"ee16d58\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-72e78ff elementor-widget__width-initial elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"72e78ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation_delay&quot;:250,&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0637\u0628 \u0639\u064a\u0648\u0646\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2571f84 ui-e-animation-acc-basic ui-e-animation-ico-fade elementor-widget elementor-widget-uicore-accordion\" data-id=\"2571f84\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;collapsible&quot;:&quot;true&quot;,&quot;active_hash&quot;:&quot;no&quot;,&quot;accordion_animation&quot;:&quot;ui-e-animation-acc-basic&quot;}\" data-widget_type=\"uicore-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"ui-e-accordion\" >\n\n                            <div class=\"ui-e-accordion-item ui-e-item ui-open\" role=\"button\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"ui-e-acc-1\" id=\"ui-e-pediatric-eye-examination\">\n\n                    <h5 class=\"ui-e-accordion-title ui-e-title ui-right\">\n\n                                                    <span class=\"ui-e-accordion-icon ui-e-icon ui-e-right\" aria-hidden=\"true\">\n\n                                <span class=\"ui-e-accordion-icon-closed\">\n                                    <svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-down\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg>                                <\/span>\n\n                                                                    <span class=\"ui-e-accordion-icon-opened\">\n                                        <svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-up\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg>                                    <\/span>\n                                \n                            <\/span>\n                        \n                                                <span class=\"ui-e-accordion-title-text ui-e-title-text\" >\n                                                        Pediatric Eye Examination                        <\/span>\n\n                    <\/h5>\n\n                    <div class=\"ui-e-accordion-content ui-e-content\" style=\"\" aria-labelledby=\"ui-e-pediatric-eye-examination\" id=\"ui-e-acc-1\">\n                        <div id=\"yui_3_18_1_1_1781926415900_23\" class=\"activity-header\" data-for=\"page-activity-header\">\n<div id=\"intro\" class=\"activity-description\">\n<div id=\"yui_3_18_1_1_1781926415900_22\" class=\"no-overflow\">\n<h5 id=\"yui_3_18_1_1_1781926415900_21\">&#8220;last update: 22 February 2024&#8221;<span id=\"yui_3_18_1_1_1781926415900_20\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><a href=\"https:\/\/lms.ehc.gov.eg\/lms\/pluginfile.php\/777\/mod_book\/intro\/Pediatric%20Eye%20Examination.pdf\"><strong><u>Download Guideline<\/u><\/strong><\/a><\/h5>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"mod_book-chaptersnavigation\">\n<div class=\"container-fluid tertiary-navigation\">\n<div class=\"row\">\n<div class=\"navitem ms-auto\">\u00a0<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"mod_book-chapter\" class=\"box py-3 generalbox book_content\">\n<h3 class=\" ccnMdlHeading\">&#8211; EXECUTIVE SUMMARY<\/h3>\n<div class=\"no-overflow\">\n<p dir=\"ltr\">\u00a0<\/p>\n<p>These guidelines describe the cornerstones of eye examination in the pediatric age group<\/p>\n<p>\u2666\ufe0f\u00a0A comprehensive pediatric eye and vision examination should include but is not limited to<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0&#8211;\u00a0Review of the nature and history of the presenting problem, patient and family eye and medical histories and school performance history of the child.<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 &#8211;\u00a0\u00a0Examination should include assessment of visual acuity with a method suitable for age, determination of refractive status, ocular motility assessment and evaluation of pupillary response,<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0&#8211;\u00a0Assessment of binocular vision, accommodation and evaluation of color vision can be indicated in selected cases.<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0&#8211;\u00a0Assessment of peripheral retina, measurement of intraocular pressure, and visual field testing can be indicated in selected cases.<\/p>\n<p><u>&#8211;\u00a0<b>Good practice statement<\/b><\/u><\/p>\n<p>\u2666\ufe0f\u00a0\u00a0Cycloplegic retinoscopy is the preferred procedure for the evaluation of refraction in children, both for preschool and school age.<\/p>\n<p><u>&#8211;\u00a0<b>Good practice statement<\/b><\/u><\/p>\n<p>\u2666\ufe0f\u00a0Infants should receive an in-person comprehensive eye and vision assessment between 6 and 12 months of age for the prevention and\/or early diagnosis and treatment of sight-threatening eye conditions and to evaluate visual development.<\/p>\n<p><u>\u00a0&#8211;\u00a0<b>Strong Recommendation<\/b><\/u><\/p>\n<p>\u2666\ufe0f\u00a0\u00a0Preterm infants with a history of ROP should be closely monitored for the development of high myopia, astigmatism, and anisometropia<\/p>\n<p><u>\u00a0&#8211;\u00a0<b>Strong Recommendation<\/b><\/u><\/p>\n<p>\u2666\ufe0f\u00a0\u00a0Early visual examination in infants for amblyopia and amblyopic risk factors can lower the prevalence and severity of amblyopia in children.<\/p>\n<p>\u00a0<u>&#8211;\u00a0<b>Strong Recommendation<\/b><\/u><\/p>\n<p>\u2666\ufe0f\u00a0\u00a0Preschool children should receive an in-person comprehensive eye and vision examination at least once between the ages of 3 and 5 to prevent and\/ or diagnose and treat any eye or vision conditions that may affect visual development.<b><\/b><\/p>\n<p><u>\u00a0&#8211;\u00a0<b>Strong Recommendation<\/b><\/u><\/p>\n<p>\u2666\ufe0f\u00a0\u00a0School-age children should receive an in-person comprehensive eye and vision examination before beginning school to diagnose, treat, and manage any eye or vision conditions.<\/p>\n<p><u>&#8211;\u00a0<b>Strong Recommendation<\/b><\/u><\/p>\n<p>\u2666\ufe0f\u00a0Children with myopia should have an in-person comprehensive eye and vision examination at least annually.<\/p>\n<p><b><u>&#8211; Strong recommendation<\/u><\/b><\/p>\n<br \/>\n<p>\u00a0<\/p>\n<\/div>\n<\/div>\n<div class=\"mt-5 mb-5 activity-navigation\">\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"float-left ui_kit_btn\">\u00a0<\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"mdl-align\">\n<div class=\"urlselect\"><label class=\"sr-only\" for=\"jump-to-activity\">Jump to activity<\/label><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>                    <\/div>\n\n                <\/div>\n                            <div class=\"ui-e-accordion-item ui-e-item\" role=\"button\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"ui-e-acc-2\" id=\"ui-e-diabetic-retinopathy-and-maculopathy-management\">\n\n                    <h5 class=\"ui-e-accordion-title ui-e-title ui-right\">\n\n                                                    <span class=\"ui-e-accordion-icon ui-e-icon ui-e-right\" aria-hidden=\"true\">\n\n                                <span class=\"ui-e-accordion-icon-closed\">\n                                    <svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-down\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg>                                <\/span>\n\n                                                                    <span class=\"ui-e-accordion-icon-opened\">\n                                        <svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-up\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg>                                    <\/span>\n                                \n                            <\/span>\n                        \n                                                <span class=\"ui-e-accordion-title-text ui-e-title-text\" >\n                                                        diabetic retinopathy and maculopathy management                        <\/span>\n\n                    <\/h5>\n\n                    <div class=\"ui-e-accordion-content ui-e-content\" style=\"display:none;\" aria-labelledby=\"ui-e-diabetic-retinopathy-and-maculopathy-management\" id=\"ui-e-acc-2\">\n                        <div id=\"yui_3_18_1_1_1781926431615_22\" class=\"activity-header\" data-for=\"page-activity-header\">\n<div id=\"intro\" class=\"activity-description\">\n<div id=\"yui_3_18_1_1_1781926431615_21\" class=\"no-overflow\">\n<h5 id=\"yui_3_18_1_1_1781926431615_20\">&#8220;last update: 25 December \u00a02025&#8221;<strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<a href=\"https:\/\/lms.ehc.gov.eg\/lms\/pluginfile.php\/1413\/mod_book\/intro\/Egyptian_Guidelines_for_DME%20last%20final%20end.pdf\" target=\"_blank\" rel=\"noopener\"><u>Download Guideline<\/u><\/a><\/strong><\/h5>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"mod_book-chaptersnavigation\">\n<div class=\"container-fluid tertiary-navigation\">\n<div class=\"row\">\n<div class=\"navitem ms-auto\">\u00a0<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"mod_book-chapter\" class=\"box py-3 generalbox book_content\">\n<h3 class=\" ccnMdlHeading\">&#8211; EXECUTIVE SUMMARY<\/h3>\n<div class=\"no-overflow\">\n<p dir=\"ltr\">\u00a0<\/p>\n<p><b>In PDR and severe NPDR<\/b><\/p>\n<p><b><i>Severe non proliferative DR<\/i><\/b><i><\/i><\/p>\n<p>\u00b7\u00a0\u00a0<i>compliant patient without diabetic maculopathy: regular follow up<\/i><i><\/i><\/p>\n<p><i><u>Recommendation:<\/u><\/i><i>\u00a0conditional<\/i><\/p>\n<p>\u00b7\u00a0 \u00a0\u00a0<i>non-compliant patient without diabetic maculopathy: laser PRP<\/i><i><\/i><\/p>\n<p><i><u>Recommendation<\/u><\/i><i>: Strong<\/i><\/p>\n<p>\u00a0<b><i>PDR and high risk PDR without diabetic maculopathy and no abundant fibrosis<\/i><\/b><\/p>\n<p>\u00b7\u00a0 \u00a0<i>Non-compliant patient: laser PRP<\/i><\/p>\n<p><i><u>Recommendation<\/u><\/i><i>: strong<\/i><\/p>\n<p>\u00b7\u00a0\u00a0<i>Compliant patient: Laser PRP or antiVEGF injection within 4 weeks;<\/i><\/p>\n<p><i><u>Recommendation:<\/u><\/i><i>\u00a0strong<\/i><\/p>\n<p><b><i>PDR and high risk PDR with diabetic maculopathy<\/i><\/b><\/p>\n<p>\u00b7\u00a0\u00a0<i>Compliant patient: antiVEGF before PRP<\/i><\/p>\n<p><i><u>Recommendation<\/u><\/i><i>: moderate<\/i><\/p>\n<p><i>Non compliant patient: laser PRP with focal\/grid laser for the macula<\/i><\/p>\n<p><i><u>Recommendation<\/u><\/i><i>: moderate<\/i><\/p>\n<p><b><i>NCI-DME:<\/i><\/b><\/p>\n<p>\u00b7\u00a0\u00a0<i>Vision 6\/12<b>\u00a0<\/b>or better in compliant patients: observe with control of risk factors.<\/i><\/p>\n<p><i>\u00a0<u>Recommendation:<\/u>\u00a0strong<\/i><\/p>\n<p>\u00b7\u00a0\u00a0<i>Vision 6\/12 or better in non-compliant patients: laser treatment based on angiography and OCT<\/i><\/p>\n<p><i><u>Recommendation:\u00a0<\/u><\/i><i>\u00a0strong<\/i><\/p>\n<p>\u00b7\u00a0<i>Vision less than 6\/12: no treatment and investigate to exclude ischemic maculopathy, if present, IVI of anti VEGF or steroids<\/i><\/p>\n<p><i><u>Recommendation<\/u><\/i><i>: consenso<u>us<\/u><\/i><\/p>\n<p><b><i>CI-DME<\/i><\/b><\/p>\n<p>\u00b7\u00a0 \u00a0<i>Vision better than 6\/12 compliant patient: observe with control of risk factors<\/i><\/p>\n<p><i><u>Recommendation<\/u><\/i><i>: Conditional<\/i><\/p>\n<p>\u00b7\u00a0 \u00a0<i>Vision better than 6\/12 non compliant patient: laser treatment<\/i><\/p>\n<p><i><u>Recommendation<\/u><\/i><i>: strong<\/i><\/p>\n<p>\u00b7\u00a0\u00a0<i>Vision less than 6\/12 in compliant patient: AntiVEGF<\/i><\/p>\n<p><i><u>Recommendation<\/u><\/i><i>: strong<\/i><\/p>\n<p>\u00b7\u00a0\u00a0<i>Vision less than 6\/12 in non compliant patient: laser<\/i><\/p>\n<p><i><u>Recommendation<\/u><\/i><i>: strong<\/i><\/p>\n<p>\u00b7\u00a0\u00a0<i>Vision less than 6\/12 with signs of vitreo-retinal traction: Vitrectomy +\/-AntiVEGF<\/i><\/p>\n<p><i><u>Recommendation<\/u><\/i><i>: strong<\/i><\/p>\n<p>\u00b7\u00a0\u00a0<i>Refractory DME: received a minimum of three monthly injections of AntiVEGF with poor anatomical and functional response in compliant patient: intra vitreal steroids\/vitrectomy<\/i><i><\/i><\/p>\n<p><i>only in places with subspecialty retinal service.<\/i><i><\/i><\/p>\n<p><i><u>Recommendation<\/u><\/i><i>: strong<\/i><\/p>\n<p>Introduction:<\/p>\n<p>Diabetes mellitus (DM) is an alarming public health issue globally and its prevalence is increasing heavily in developing countries [1-4]. The number of diabetics between 20 and 79 years of age is estimated to be 415 million people in the world and is expected to rise to 642 million in 2040.[5] In Egypt, DM is a dilemma and a fast-expanding concern. According to the International Diabetes Federation (IDF), the prevalence of DM among Egyptian adults is 15.2%, which may be an underestimation [6]. Diabetic retinopathy (DR) is one of the major complications of diabetes and leading cause of visual impairment or blindness. One of the most devastating complications of diabetes is diabetic retinopathy, which can be potentially blinding [7-14]. Evidence through the years reveals that almost all type I and around 60% of type II diabetic patients develop some degree of retinopathy within 20 years after diagnosis [15]. Given the increasing number of diabetics worldwide, developing countries are expected to receive the greatest toll [14]. \u00a0<\/p>\n<br \/>\n<p>\u00a0<\/p>\n<\/div>\n<\/div>\n<div class=\"mt-5 mb-5 activity-navigation\">\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"float-left ui_kit_btn\">\u00a0<\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"mdl-align\">\n<div class=\"urlselect\"><label class=\"sr-only\" for=\"jump-to-activity\">Jump to activity<\/label><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>                    <\/div>\n\n                <\/div>\n                    <\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u0637\u0628 \u0639\u064a\u0648\u0646 Pediatric Eye Examination &#8220;last update: 22 February 2024&#8221;\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7456","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/gothi.gov.eg\/index.php?rest_route=\/wp\/v2\/pages\/7456","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gothi.gov.eg\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gothi.gov.eg\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gothi.gov.eg\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gothi.gov.eg\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7456"}],"version-history":[{"count":4,"href":"https:\/\/gothi.gov.eg\/index.php?rest_route=\/wp\/v2\/pages\/7456\/revisions"}],"predecessor-version":[{"id":7463,"href":"https:\/\/gothi.gov.eg\/index.php?rest_route=\/wp\/v2\/pages\/7456\/revisions\/7463"}],"wp:attachment":[{"href":"https:\/\/gothi.gov.eg\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7456"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}